9 - Feline Patient Care & Medical Records

Question 1

What should be done Monday evening 4-6 pm the night before your surgery?

Answer 1

At least 2 members of your group should:

1. Review transfer of case with Dr. C in shelter room
2. Review patient record - preop bloodwork and preventative care
3. Calculate energy requirements and amount to feed - note on patient summary sheet and treatment sheet
4. Observe patient in cage, plan handling protocol, and perform SOAP (unless cat too anxious)
5. Start case summary - can enter history

Question 2

What part of patient care/responsibilities should be done during surgery lab?

Answer 2

PE while awake or sedated - depend on pet;

Record on patient summary sheet

Question 3

What part of patient care/responsibilities should be done post-op (7-8 pm)?

Answer 3

# 1. SOAP with at least 2 members of group - Record on treatment sheet (not CVIS)
2. Fill in discharge instruction so it is ready for the next day

Question 4

When is the case summary due? Who should be involved in writing it?

Answer 4

Fridays at noon; all group members should be involved

Question 5

What are the 3 steps to calculate energy requirements and amount to feed?

Answer 5

1. Calculate RER
2. Calculate Total daily energy requirement
3. Calculate Amount to feed

Question 6

What is the formula used to calculate amount to feed (RER)?

Answer 6

RER = 70 (wt Kg^0.75)

Question 7

How is total daily energy requirement calculated?

Answer 7

RER x Activity factor

Question 8

How is amount to feed calculated?

Answer 8

Total daily energy requirement / caloric content of food

Question 9

What is the activity factor for a full grown cat?

Answer 9

1

Question 10

What is the activity factor for a kitten?

Answer 10

1.6

Question 11

Calculate amount to feed in a 2 kg, 13 wk kitten who is slightly thin (BCS 3/9). Food is 531 Kcals/cup.

Answer 11

Question 12

What are the 3 main components of the medical record?

Answer 12

SOAPs, case summary, discharge instructions

Question 13

What part of the medical record follows the pet from the shelter to their new home?

Answer 13

discharge instructions

Question 14

What does SOAP stand for?

Answer 14

S = subjective

O = objective

A = assessment

P = plan

Question 15

What things are recorded as part of the subjective of a SOAP?

Answer 15

Activity level, appetite/water intake, urination/defecation, any other subjective observation

i.e. what the owner would normally be able to tell you as far as history

Question 16

What things are recorded as part of the objective of a SOAP?

Answer 16

Vitals, PE, new lab date

i.e. anything that can be measured and/or noted as part of the PE

Question 17

What things are recorded as part of the assessment of a SOAP?

Answer 17

Whether or not the pet is stable, any new problems or rule outs

Question 18

What things are recorded as part of the plan of a SOAP?

Answer 18

Diagnostics and treatment

Question 19

Where are the case summaries recorded?

Answer 19

On CVIS

Question 20

Where are discharge forms recorded?

Answer 20

On CVIS